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Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status.

Publication ,  Journal Article
Siegler, IC; Costa, PT; Brummett, BH; Helms, MJ; Barefoot, JC; Williams, RB; Dahlstrom, WG; Kaplan, BH; Vitaliano, PP; Nichaman, MZ; Day, RS ...
Published in: Psychosom Med
2003

OBJECTIVE: To examine hostility measured in college and patterns of change in hostility from college to midlife as predictors of high health-related risk later in midlife. METHODS: Logistic regression models were used to test hostility/risk associations. RESULTS: College hostility predicted being a current smoker, consuming more than two drinks of alcohol, low social support, achieving less than expected in career and in relationships, risk for depression, and appraisal of life changing for the worse in terms of family events at midlife. Change in hostility did not predict smoking and drinking; however, it did significantly predict social isolation, lower income (only for women), obesity, avoidance of exercise, high-fat diet, and negative changes in economic life, work life, and physical health events-all risk indicators measured during the next decade. Appraisals of social support, lowered expectations, risk for depression, and reports of family life changing for the worse were predicted at both time periods. When change in hostility was modeled with college hostility, all risk indicators were significantly predicted by college hostility. CONCLUSIONS: High hostility in college and change in hostility from college to midlife predicts a full range of health risk indicators. When compared with the average population decline in hostility, gains in hostility at midlife are related to increased risk while declines in hostility are related to reduced risk. Higher midlife hostility is associated with increased odds of being in the higher risk group. Future research should focus on developing interventions to reduce hostility.

Duke Scholars

Published In

Psychosom Med

DOI

EISSN

1534-7796

Publication Date

2003

Volume

65

Issue

5

Start / End Page

738 / 745

Location

United States

Related Subject Headings

  • Social Isolation
  • Smoking
  • Risk
  • Psychiatry
  • Obesity
  • Middle Aged
  • Male
  • Life Style
  • Humans
  • Hostility
 

Citation

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Siegler, I. C., Costa, P. T., Brummett, B. H., Helms, M. J., Barefoot, J. C., Williams, R. B., … Rimer, B. K. (2003). Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status. Psychosom Med, 65(5), 738–745. https://doi.org/10.1097/01.psy.0000088583.25140.9c
Siegler, Ilene C., Paul T. Costa, Beverly H. Brummett, Michael J. Helms, John C. Barefoot, Redford B. Williams, W Grant Dahlstrom, et al. “Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status.Psychosom Med 65, no. 5 (2003): 738–45. https://doi.org/10.1097/01.psy.0000088583.25140.9c.
Siegler IC, Costa PT, Brummett BH, Helms MJ, Barefoot JC, Williams RB, et al. Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status. Psychosom Med. 2003;65(5):738–45.
Siegler, Ilene C., et al. “Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status.Psychosom Med, vol. 65, no. 5, 2003, pp. 738–45. Pubmed, doi:10.1097/01.psy.0000088583.25140.9c.
Siegler IC, Costa PT, Brummett BH, Helms MJ, Barefoot JC, Williams RB, Dahlstrom WG, Kaplan BH, Vitaliano PP, Nichaman MZ, Day RS, Rimer BK. Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status. Psychosom Med. 2003;65(5):738–745.

Published In

Psychosom Med

DOI

EISSN

1534-7796

Publication Date

2003

Volume

65

Issue

5

Start / End Page

738 / 745

Location

United States

Related Subject Headings

  • Social Isolation
  • Smoking
  • Risk
  • Psychiatry
  • Obesity
  • Middle Aged
  • Male
  • Life Style
  • Humans
  • Hostility